| NPI | 1548840838 |
|---|---|
| Doing Business As | LCH - PEDIATRIC ENT |
| Entity Type | Organization |
| Authorized Contact | JAMES FORES Credentialing Specialist 239-424-1479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-04-10 |
| Last Update Date | 2023-12-13 |